Aff - Simon, Theresia R_3/12/1975 (3)�
AFFIDAVIT OF INHERITANCE
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Theresia R. Simon, being first duly sworn upon her oath,�,
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deposes and says: ,,, �.
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That she is more than 21 years of age, a resident`of Gibson .'
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County, Indiana, and that she is the surviving widow of Carl Simon,
deceased.
That she knows of her own knowledge that the said Carl
Simon died testate on or about the 28th day of June, 1969, and that
said Carl Simon and this aifiant were husband and wife at the time o£
the death of the said Carl Simon,
That by the teYms oP said Decedent's Last Will and-Testament,
admitted to probate and recorded in Will Record R Page 560, this af£iant
was given, devised and bequeathed all of Decedent's property which he
owned at the date o£ his demise.
Affiant further states that the assets of Decedent's Estate
as of the date of his demise, carried an insufficient value to cause ��
Decedent's Estate to be subject to any Federal Estate Tax.
Further this affiant sayeth not.
STATE OF INDIANA
COWi TY OF GIBSON
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THERESIA R. SIMON
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Subscribed and sworn to before me this /2 �, day of /
, 1975.
-My Commission Expires:
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NOT RY PUBLIC �I
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This Instrument Prepared by Dan L. Reeves, Attoxney-at-Law.